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青少年肌阵挛癫痫中体感诱发电位的恢复功能

Recovery function of somatosensory evoked potentials in juvenile myoclonic epilepsy.

作者信息

Kızıltan Meral E, Yeni S Naz, Aliş Ceren, Gündüz Ayşegül

机构信息

Department of Neurology, Cerrahpasa Medical Faculty, I.U.C. , Istanbul , Turkey.

出版信息

Somatosens Mot Res. 2019 Sep;36(3):195-201. doi: 10.1080/08990220.2019.1644999. Epub 2019 Aug 1.

Abstract

We analysed the recovery function of somatosensory evoked potentials (SEPs) in juvenile myoclonic epilepsy (JME) patients. We hypothesized that there may be disinhibition in the recovery of SEPs at 20-100 ms intervals in JME patients. We recorded SEPs and SEP recovery in 19 consecutive patients with JME admitted for a routine follow-up examination, and in a control group composed of 13 healthy subjects who were similar to the patient group regarding age and sex. The recovery function of SEPs was examined using paired stimuli at 30, 40, 60, and 100 ms intervals. The amplitudes of N20-P25 and P25-N33 components were higher in patients with JME. Ten patients had high-amplitude SEPs. By paired stimulation, there was inhibition of SEPs in both groups. The mean recovery percentages of N20-P25 and P25-N33 components at 30, 40, 60, and 100 ms were not different between healthy subjects and patients with JME. The recovery function of SEP is normal in JME even in the presence of high-amplitude SEPs.

摘要

我们分析了青少年肌阵挛性癫痫(JME)患者体感诱发电位(SEP)的恢复功能。我们假设JME患者在20 - 100毫秒间隔的SEP恢复过程中可能存在去抑制现象。我们记录了19例因常规随访检查入院的连续性JME患者以及由13名年龄和性别与患者组相似的健康受试者组成的对照组的SEP和SEP恢复情况。使用间隔为30、40、60和100毫秒的配对刺激来检查SEP的恢复功能。JME患者的N20 - P25和P25 - N33成分的波幅较高。10例患者有高波幅SEP。通过配对刺激,两组的SEP均受到抑制。健康受试者和JME患者在30、40、60和100毫秒时N20 - P25和P25 - N33成分的平均恢复百分比没有差异。即使存在高波幅SEP,JME患者的SEP恢复功能也是正常的。

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